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Association Comments on NQF’s Risk-Adjustment Recommendations

America’s Essential Hospitals submitted comments April 16 to the National Quality Forum (NQF) on its draft report, Risk Adjustment for Socioeconomic Status or Other Sociodemographic Factors. The report contains eight recommendations for adjusting certain performance measures used in accountability applications, such as pay-for-performance or public reporting, so they accurately capture the quality of care offered by providers. The association supports the recommendations in its comments, stating the use of sociodemographic factors in risk models will allow for true quality comparisons.

In particular, America’s Essential Hospitals supports NQF’s recommendation to include sociodemographic factors when risk adjusting the performance score of outcome and certain process of care measures. The association also supports NQF’s recommendation to revise its criteria for endorsing performance measures used in accountability applications to include both clinical and sociodemographic risk-adjustment factors.

Please contact Ashley Ferguson, MPH, MA, project associate, at or 202.495.3347 with questions.


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